Individual provider Active NPI

Joseph Hershkop, M.D.

  • Pediatrics Physician
  • Saratoga Springs, UT
National Provider Identifier
1245418102
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13208 Issued in NV
Practice address
41 E 1140 N
Ste B
Saratoga Springs, UT 84045
Phone
(801) 407-6500
Fax
(801) 407-6505
NPI assigned
Feb 3, 2008
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13208 NV Primary

Addresses

Primary practice location

41 E 1140 N
Ste B
Saratoga Springs, UT 84045

Mailing address

41 E 1140 N
Ste B
Saratoga Springs, UT 84045
Phone (801) 407-6500

Other identifiers 1

IdentifierTypeStateIssuer
CS18192OtherNEVADA STATE BOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13208NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Pediatrics L.L.C. Pediatrics CurrentSince Sep 5, 2023 Accepting new patients
Utah Valley Pediatrics L.L.C. Pediatrics PastSince Jun 22, 2021 Accepting new patients

Locations

41 E 1140 N
Ste B
Saratoga Springs, UT 84045
Phone (801) 407-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1245418102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E 1140 N",
            "address_2": "STE B",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-407-6500",
            "fax_number": "801-407-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 1140 N",
            "address_2": "STE B",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-407-6500",
            "fax_number": "801-407-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHKOP",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-03",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "13208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF PHARMACY",
            "identifier": "CS18192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.